Ingxaki enkulu kwisifo seParkinson (PD) kukulahlekelwa ngokuthe ngcembe kwengqondo ye-chemical messenger dopamine. Ngaphandle kwezi sele zengqondo ze-neurotransmitter ezisebenzisa i-dopamine azikwazi ukuthetha kakuhle. Ukuqhekeka kokunxibelelana kubangela ukuphazamiseka komsebenzi kuzo zonke iinkqubo zengqondo ezisebenzisa i-dopamine. Iimoto zendlela zihamba phambili kwaye zikhubaza le mi sebenzi, ngoko zifumana yonke ingqalelo.
Kodwa kukho ezinye iinkqubo ezibalulekileyo ezixhomekeke kwi-dopamine echaphazelekayo kwi-PD-njengoko ndiqinisekile ukuba uyazi ukuba wena okanye othandekayo unaPD. Leminye imisebenzi yengqondo ibuthongo, imizwa, intetho kunye nokucinga.
Ukulala nokulala
- Ukufikelela kuma-90% asePD izigulane zifumana iingxaki zokulala ngexesha lokugula kwazo.
- Phakathi kwama-40 kunye nama-90% ama-PD abaguli bafumana ukulahla okanye ubunzima bokuwa nokulala. Abaninzi bala bantu abaziva bahlaziywa emva kokuvuswa ebuthongweni.
- Ukungazinzanga kwi-PD kuhambelana nemisipha, i-immobility, imfuneko rhoqo yokuvuka nokukhupha, ukuxhalaba kunye nemiphumo emibi yeyeza.
Ukulala koSuku lokuSukula
- Uninzi lwezigulane ze-PD zifumana ukukhathala kwamalanga kunye nokulala. Asinazo iinombolo eziqinileyo malunga nokuba ziphi izigulane zifumana ubuthongo bokuhlwa.
- Ukulala ubusuku kungase kube yingozi xa isigulane sifuna ukwenza ukushayela okukhulu.
- Ukulala ngokwedlulele emini kwiDP kungenxa yemibandela eyahlukahlukeneyo kuquka ukulala, ukuphazamiseka kokulala (jonga ngezantsi), ukuxinezeleka kunye neyeza lonyango (i-dopamine agonists, ingakumbi, ingabangela ubuthongo).
I-Apnea yokulala
Abaninzi abangama-20% abaguli be-PD banokuba ne- apnea yokulala .
Ukuphefumula ukulala kukubhekisela kunzima kakhulu ngokuphefumla ngexesha lokulala.
Ukulala kwe-apnea yimbangela ebalulekileyo yokulala ukulala nokulala ebusuku. Kananjalo kunciphisa umoya we-oksijeni kwi-ingqondo eyaphazamisa ingcamango nokucinga ngexesha lemini.
I-REM Yokuziphatha Kwengxaki
- Phakathi kwezi-15 kunye ne-48% zePD izigulane nazo zine-REM Behavior Disorder (RBD).
- Ukulala kwe-REM, okanye i-Rapid Eye Movement sleep, yile fomu yobuthongo obukhulu apho sikwazi ukufumana amaphupha acacileyo. Imizimba yethu ikhubazekile ngexesha lokulala kwe-REM ngenxa yokuxhatshazwa kwemisipha eyenzeka ngexesha le-REM ukwenzela ukuba singenzi amaphupha ethu xa silele.
- I-REM Yokukhubazeka Kwimiba eyenzekayo xa ukuxhatshazwa kwemisipha eqhelekileyo eyenzeka kwi-sleep sleep kukupheliswa.
- Izigulane ezine-RBD zisoloko zenza amaphupha ezinobundlobongela okanye obesabisayo apho iphupha okanye umlingane webhedi ehlaselwa kwaye lowo uphuphayo kufuneka avetelele abahlaseli.
Mood
Cishe zonke izigulana ezine-PD zifumana ukuphazamiseka kwemizwelo ngexesha le sifo. Oku akumangalisi. Njengaye naziphi na ezinye izifo ezingapheliyo, i-PD ibangela iingxaki ezininzi ezinzima imihla ngemihla kwaye ezi zinto zingalimaza isigulane kunye nosapho lwakhe. Kuqhelekile ukuhamba ngexesha lokudakumba nokudangala. Kuqhelekile ukuba ube nexhala kunye nexhala malunga nendlela wena kunye nosapho lwakho uya kuhlangabezana nazo zonke iibhola ze-curve iPP iphosa kuwe. Ngoko ukudabuka kunye nokuxhalaba kuyenzeka ngokuthe tye kwi PD. Yintoni ephazamisayo kwaye idinga ingqwalasela xa ukudabuka kuphenduka ukuxinezeleka okanye xa uxinzelelo luqhubeka kwaye luphazamisa ukusebenza kwansuku zonke.
Nazi ezinye iinkcukacha ezinokuba luncedo:
- Ukufikelela kwii-50 zePD izigulane zinokudakumba okukhulu ngexesha lesi sifo.
- Ukudandatheka kungaphathwa kakuhle kwi-PD kunye nokudibanisa kwengqondo kunye neyeza ezichasayo.
- Phakathi kwama-30 no-40% ama-PD abaguli bafumana ingxaki enkulu yokuxhalabisa ngexesha lokugula. Ezi ngxaki zengxakini zingabonakalisa njengentlanzi, i-phobic (imeko ethile idala ukuxhalabisa), okanye ukuxhalabisa ngokubanzi.
Iingxaki zokuthetha
Iingxaki zokuthetha zePD zibandakanya ubunzima ngokubhaliweyo kwezandi zentetho, ivolumu yokuthetha, kunye nencoko yokuthetha okanye ingoma.
Ezi zinokubonakala ngathi zinengxaki ezincinci kodwa zinokuba nempembelelo enkulu kwiintsebenziswano zakho zentsuku zentlalo ngoko kubalulekile ukuphatha ezi ngxaki ngokukhawuleza njengoko unako.
Iingxaki zokucinga
I-Dopamine inika ezo ndawo zengqondo ezibaluleke kakhulu ukugxininisa, ukuqiqa, ukubonisa nokucwangcisa. Ezi ziyaziwa ngokuba yi "imisebenzi ephezulu yokuqonda" ngenxa yokuba zinceda ukulawula zonke iinkqubo zokucinga ezisisiseko zobuchopho. Kubalulekile ukuba uqaphele ukuba le mi sebenzi yokucinga ayilahlekanga kwi-PD-ithebe nje kancane. Kodwa ukunciphisa okuncinci kunokuba nemiphumo emibi ekusebenzeni ukuba ingashiywanga.
Ngaphantsi
- I-PD inxulumene neengxaki ezininzi ezingenazo iimoto eziquka iingxaki zokulala, iingxaki zengqondo, iingxaki zokuthetha kunye neengxaki zokucinga.
- Iindaba ezilungileyo kukuba ZONKE ezi ngxaki zingaphathwa kakuhle kwaye xa ziphathwe ngokufanelekileyo umgangatho wobomi ziya kuphucula ngokuphawulekayo.
- Akukho sizathu sokuba sihlupheke ngokungadingekile. Ezi ziindawo apho ungenza khona ukwenza umehluko. Mthetho!
- Thetha ugqirha wakho malunga nale ngxaki ukuba unayo.
- Akunakukuphepheka ukuba ulala ebuthakathaka okanye intetho ephosakeleyo okanye ukuxinezeleka kwemizwa. Unokwenza okuthile malunga nale ngxaki.
- Khumbula, awuyena isifo sakho. Ungakuvumeli ukuba utyeshele kuwe. Kukho unyango oluninzi olukhoyo. Unokufunda okungakumbi malunga nale nonyango evela kumgqirha wakho nakweli website.
Imithombo
> Huber SJ, Cummings JL, abahleli. Izifo zikaPasinson: Iinjongo ze-neurobealityality. ENew York: i-Oxford University Press; 1992.
> R. Pahwa kunye no-KE Lyons (Abahleli), IsiXhosa seZifo zePasinson ; I-4 Edition, eNew York, Abashicileli bezeMpilo kwi-Informa, ngo-2007.
> URF Pfeiffer kunye no-I. Bodis-Wollner (Eds). I-Parkinson Izifo kunye nokungasebenzi kwemoto, iHumanana Press; Totowa, eNew Jersey, 2005.